| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $24,794.40 | $24,794.40 | $24,794.40 | |
HMSA
| Facility | $34,846.00 | $40,717.00 | $47,414.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |